De Quervain tendonitis 4.5/5 (2)

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The Quervain's tendinitis

The tendonitis of the Quervain causes severe pain at the wrist when the thumb is stretched. Illustration: Pxhere CC0

Definition

The Quervains tendonitis causing pain in the thumb's stretching tendons near the wrist.

  • The disease is most commonly seen among adult women and congestion is the most common cause.

Disease Cause

This tendonitis is most often triggered by overload over time, for example, in a stressful profession or in sports (golf, tennis). The condition can also occur 1-XNUM months after childbirth-related care. They inflamed the tendons are abductor pollicis longus og extensor pollicis brevis.

Symptoms

  • Stabbing pain over the thumb and wrist corresponding to two of the thumb's tendons
  • Pain on movement and load and press against the tendon at the wrist
  • The pain can radiate into the forearm
  • Symptoms can cause the hand not to be used

Diagnosis

Medical history and typical pain along the tendons upon examination. At Finkelstein's test, the affected tendons are stretched and trigger pain

Incorrect diagnosis (Similar conditions, differential diagnoses)

  • Osteoarthritis in the thumb's CMC-1 joints
    • Pain in the joint
  • Ganglion
    • Not painful, round swelling
  • Nerve damage

Treatment

The Quervain's tendonitis is treated with relief. There are various support rails (orthoses) that can be very helpful in a few weeks. Ibux gel or Orudis gel can be applied to the skin over the pain. Against symptoms, mild painkillers (paracetamol, NSAIDs) may also be used. Some benefit from cortisone injection. Operation is rarely necessary.

Prognosis

This tendonitis is not a symptom of any other underlying disease. However, the condition lasts many weeks or months despite treatment

Literature


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